Provider Demographics
NPI:1174342349
Name:VALDES, LAUREN MARIE (SLP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:MARIE
Last Name:VALDES
Suffix:
Gender:F
Credentials:SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7425 SW 61ST ST
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33143-1746
Mailing Address - Country:US
Mailing Address - Phone:305-608-1235
Mailing Address - Fax:
Practice Address - Street 1:5701 SUNSET DR STE 282
Practice Address - Street 2:
Practice Address - City:SOUTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33143-5369
Practice Address - Country:US
Practice Address - Phone:305-763-8132
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-05
Last Update Date:2024-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSZ12340235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist